College of Health Sciences, Gulf Medical University, Ajman, United Arab Emirates.
Thumbay Physical Therapy & Rehabilitation Hospital, Ajman, United Arab Emirates.
Trials. 2022 Jun 6;23(1):469. doi: 10.1186/s13063-022-06406-6.
BACKGROUND: Patients with chronic low back pain (CLBP) frequently present with kinesiophobia. Though large body of evidence reported the impact of kinesiophobia in patients with CLBP, there are paucity of studies in associating kinesiophobia to muscle endurance and position sense in patients with CLBP. The primary aim of the study is to compare the impact of kinesiophobia on lumbar extensor endurance, position sense in patient with CLBP, and asymptomatic individuals. Secondarily, we aim to examine the association between kinesiophobia and lumbar extensor endurance, position sense, pain intensity, and functional ability in patients with CLBP. Thirdly, we aim to assess the degree of association of various factors on CLBP, lumbar endurance, and position sense. MATERIAL AND METHODS: This case-control study will have 200 patients with CLBP and 400 controls. Kinesiophobia, lumbar endurance, and lumbar position sense will be assessed with Tampa Scale, Soren's lumbar extensor test, and lumbar repositioning test respectively. Secondarily, the pain intensity will be assessed with visual analog scale and functional ability with Patient-specific Functional Scale in patients with CLBP. Lumbar endurance and joint position sense will be compared between subjects with and without kinesiophobia. Kinesiophobia scores will be compared with lumbar extensor endurance and proprioception joint position errors, pain intensity, and functional ability. Simple and multiple binary logistic regression will be used to determine crude and adjusted odd's ratio for kinesiophobia, lumbar position sense and kinesiophobia, and lumbar endurance. DISCUSSION: The finding from this study can be generalized as this study has adequate sample size and subgroup analysis by adjusting the variables to draw a valid conclusion. The finding of this study will help the working physician to include assessment of kinesiophobia as part of musculoskeletal evaluation for patient with CLBP in a prospective diagnostic intervention. TRIAL REGISTRATION: ClinicalTrials.gov NCT05079893 . Registered on 14 October 2021.
背景：慢性下腰痛（CLBP）患者常伴有运动恐惧症。尽管大量证据报告了运动恐惧症对 CLBP 患者的影响，但关于运动恐惧症与 CLBP 患者肌肉耐力和位置感的关联研究较少。本研究的主要目的是比较运动恐惧症对 CLBP 患者、无症状个体的腰椎伸肌耐力和位置感的影响。其次，我们旨在研究运动恐惧症与 CLBP 患者的腰痛耐力、位置感、疼痛强度和功能能力之间的关系。第三，我们旨在评估各种因素与 CLBP、腰椎耐力和位置感的关联程度。
材料和方法：本病例对照研究将纳入 200 例 CLBP 患者和 400 例对照。使用坦帕量表、Soren 腰椎伸肌试验和腰椎复位试验分别评估运动恐惧症、腰椎耐力和腰椎位置感。其次，在 CLBP 患者中，使用视觉模拟量表评估疼痛强度，使用患者特定功能量表评估功能能力。比较有运动恐惧症和无运动恐惧症患者的腰椎耐力和关节位置感。比较运动恐惧症评分与腰椎伸肌耐力和本体感觉关节位置误差、疼痛强度和功能能力。简单和多元二项逻辑回归将用于确定运动恐惧症、腰椎位置感和运动恐惧症与腰椎耐力的粗比值和调整比值比。
讨论：本研究的发现可以推广，因为本研究有足够的样本量，并通过调整变量进行亚组分析，得出了有效的结论。本研究的结果将有助于临床医生将运动恐惧症评估作为 CLBP 患者肌肉骨骼评估的一部分纳入前瞻性诊断干预中。
试验注册：ClinicalTrials.gov NCT05079893。于 2021 年 10 月 14 日注册。
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